TY - CHAP M1 - Book, Section TI - Acute Vertigo A1 - Go, Steven A2 - Cydulka, Rita K. A2 - Fitch, Michael T. A2 - Joing, Scott A. A2 - Wang, Vincent J. A2 - Cline, David M. A2 - Ma, O. John PY - 2017 T2 - Tintinalli's Emergency Medicine Manual, 8e AB - Vertigo is a perception of movement when none exists that results from a mismatch between the visual, vestibular, and proprioceptive sensory systems. Symptoms of vertigo are classically described by patients as a sensation that “the room is spinning,” but can also include atypical sensations of other types of movement. Vertigo is classified as peripheral or central (Table 144-1). Peripheral vertigo (involving the vestibular apparatus and eighth cranial nerve) usually has a sudden onset with intense symptoms that include nausea, vomiting, intolerance of head movement, and diaphoresis. Central vertigo (involving central structures such as the brainstem or cerebellum) can present either abruptly or gradually, but usually is characterized by less severe symptoms that are not well characterized by patients. Clinicians can work to discriminate between these two types of vertigo during a care encounter in the Emergency Department (ED) while recognizing that some overlap may exist between these two types of vertigo. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/23 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1143143856 ER -